Evaluation of Anesthesia and Transfusion in Craniosynostosis Surgery: A Retrospective Study

Year 2022, Volume: 7 Issue: 3, 527 - 537, 01.12.2022

Nermin Kılıçarslan , Ayşe Neslihan Balkaya

https://doi.org/10.25279/sak.1021427

Abstract

Aim:Craniosynostosis surgery is one of the difficult operations in terms of anesthesia and surgery, in which morbidity and mortality can be seen due to hypovolemia and hypothermia. In this study, general use of anesthesia and blood transfusion applied in craniosynostosis surgery of pediatric patients.
Materials and Methods:The files of pediatric patients who had craniosynostosis surgery were evaluated.The demographic data including, hemoglobin and hematocrit values, the given volume of erythrocyte (ES) and fresh frozen plasma (FFP) suspension were recordedpre and post operatively.
Results:The mean age was 8.4 months. All patients were given ES in the pediatric intensive care unit during the operation and 7 patients after the operation. TDP was given to 2 patients during the operation. The amount of ES given to the patients during the operation was 12.7 mL/kg (3-23) and the amount of ES given after the operation was 14.2 mL/kg (7.7-25.0). The mean operative time was 234 minutes.
Conclusion:Careful and comprehensive follow-up of craniosynostosis surgery is required due to the high probability of bleeding during the operation, and the long anesthesia period. In addition, we think that packaging blood products according to pediatric age, weight and surgery would reduce donor exposure and cost.

Keywords

anesthesia, hemorrhage, transfusion, Pediatric

Kraniosinostoz Cerrahisinde Anestezi ve Transfüzyonun Değerlendirilmesi: Retrospektif Çalışma

Abstract

Amaç: Kraniosinostoz cerrahisi hipovolemi ve hipotermi nedeniyle morbidite ve mortalitenin görülebildiği, anestezi ve cerrahi açıdan riskli ameliyatlardandır. Çalışmada pediyatrik hastaların kraniosinostoz cerrahisinde uygulanan anestezi ve kan transfüzyonunun genel kullanımını değerlendirdik.
Gereç ve Yöntem: Kraniosinostoz cerrahisi geçiren çocuk hastaların medikal kayıtları değerlendirildi. Hemoglobin ve hematokrit değerleri, verilen eritrosit (ES) hacmi ve taze donmuş plazma (TDP) süspansiyonunu içeren demografik veriler ameliyat öncesi ve sonrası kaydedildi.
Bulgular: Ortalama yaş 8.4 ay idi. Hastaların tümüne operasyon sırasında, 7 hastaya operasyondan sonra çocuk yoğun bakımda ES verildi. TDP operasyon sırasında 2 hastaya verildi. Hastalara operasyon sırasında verilen ES miktarı 12.7 mL/kg (3-23), operasyon sonrası verilen ES miktarı ise 14.2 mL/kg (7.7-25.0) idi. Ortalama operasyon süresi 234 dakika idi.
Sonuç: Kraniosinostoz cerrahisinde yüksek kanama ihtimali, uzun anestezi süresi nedeniyle dikkatli ve kapsamlı hasta takibi yapılması gerekmektedir. Ayrıca kan ürünlerinin pediyatrik yaş, kilo ve yapılacak cerrahiye göre ambalajlanmasının donör maruziyeti ve maliyeti azaltacağını düşünmekteyiz.

Keywords

anestezi, kanama, transfüzyon, Pediyatrik

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